scholarly journals Role of Socioeconomic Status in Hypertension among Chinese Middle-Aged and Elderly Individuals

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Xinyi Wu ◽  
Zhonghua Wang
Keyword(s):  
Socioeconomic Status ◽  
Logistic Regression ◽  
Concentration Index ◽  
Health Concern ◽  
Multivariate Logistic Regression ◽  
Middle Aged ◽  
Elderly Individuals ◽  
Income Groups ◽  
The Relationship

Hypertension is an important global health concern. The relationship between hypertension and socioeconomic status (SES) has been extensively studied. However, the role of SES in hypertension is still controversial, and this kind of study is sorely lacking among Chinese middle-aged and elderly individuals. The data of this study come from the China Health and Retirement Longitudinal Survey (CHARLS) released in May 2017. A total of 21,126 people from all around China, with ages older than 45 years, were enrolled in the questionnaire survey. Hypertension was determined according to the entry in CHARLS (“Do you have doctor-diagnosed hypertension?”), and 17,676 people responded to this entry. The basic demographic and SES information were collected. Multivariate logistic regression was used to evaluate the risk factors of hypertension. Concentration index was used to measure inequality of hypertension incidence. Among the investigated middle-aged and elderly individuals, 5,177/17,676 (29.3%) had doctor-diagnosed hypertension. Multivariate logistic regression implied that individuals older than 55 years (OR 1.436, 95% CI 1.085–1.900 for age interval of 55–64 years; OR 2.032, 95% CI 1.455–2.839 for age interval of 65–74 years; OR 1.672, 95% CI 1.031–2.714 for age interval of older than 75 years), male (OR 0.038, 95% CI 0.595–0.986), overweight (OR 2.47, 95% CI 1.462–4.183), and diabetes (OR 3.159, 95% CI 2.129–4.687) were associated with hypertension. For society support, individuals in the lowest quintile were more likely to suffer hypertension. Concentration index results suggested that different income groups did not show inequality on hypertension incidence. Elder age, male, overweight, diabetes, and poor society support were suggested to be associated with hypertension incidence among middle-aged and elderly individuals in China. Our study provides implications for controlling and managing hypertension.

scholarly journals Correlation of Diabetes and Cancers: A Survey of Hospitalized Patients in the United State, 2005-2015

2021 ◽  
Author(s):  
Alireza Mirahmadizadeh ◽  
Mohammad Hossein Sharifi ◽  
Mohammad Aryaie ◽  
Zahra Gheibi ◽  
Alireza Rezvani ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Univariate Analysis ◽  
Multivariate Logistic Regression Analysis ◽  
Protective Role ◽  
Hospitalized Patients ◽  
Multivariate Logistic Regression ◽  
New Information ◽  
Contradictory Evidence ◽  
The Relationship

Abstract BackgroundIn recent decades, there is a growing body of literature that recognizes the relationship between diabetes and cancers. However, there is limited and contradictory evidence regarding whether diabetes is associated with an increased or decreased risk of some cancers.MethodIn this survey, data from 44,262,443 patients aged ≥50 years from 2005 to 2015 were obtained from the Healthcare Cost and Utilization Project-Nationwide Inpatient Sample (HCUP-NIS) database. Univariate analysis and multivariate logistic regression between diabetes and 33 selected cancers among hospitalized patients were calculated from data extracted from the database.ResultsThis study revealed that out of 44,262,443 discharges, 13,048,961 patients had diabetes for a prevalence of 29.48%, and 11,752,871 cases of 33 different cancers existed among 9,103,889 patients. Data revealed that the proportion of patients hospitalized with diabetes increased from 25.79% to 32.31% in uncomplicated diabetes (mean age: 70.11±11.07 years) and from 4.47% to 7.14% in complicated diabetes (mean age: 68.71±10.72 years). The univariate analysis and multivariate logistic regression analysis revealed that diabetes, including uncomplicated and complicated, had a protective role for 33 selected cancers as the 1st–30th diagnosis except for pancreatic cancer (OR 1.415, 95% CI: 1.40–1.43), and liver and intrahepatic cancer (OR 1.199, 95% CI: 1.184–1.213).ConclusionThis study presents new information on the likelihood of a protective role of diabetes in certain cancers using a large amount of individual data. Continued efforts and research are needed to provide detailed and probable biological mechanisms linking diabetes and the development and progression of cancer.

Evaluating psychiatrists’ attitudes and expectations about pharmacists’ role in psychiatry in Jordan

2021 ◽  
Author(s):  
Derar H Abdel-Qader ◽  
Esraa E Al Jomaa ◽  
Jennifer Silverthorne ◽  
Walid Shnaigat ◽  
Salim Hamadi ◽  
...  
Keyword(s):  
Mental Illness ◽  
Logistic Regression ◽  
Response Rate ◽  
Psychotropic Medications ◽  
Descriptive Statistics ◽  
Multivariate Logistic Regression ◽  
Current Role ◽  
Electronic Survey ◽  
Survey Response Rate

Abstract Objectives Evaluating Jordanian pharmacists’ roles in psychiatry from psychiatrists perspective. Methods An electronic survey was sent to 100 psychiatrists registered in the Jordanian Psychiatrists Association. Statistical analysis included descriptive statistics and multivariate logistic regression. Key findings A total of 80 psychiatrists completed the survey (response rate 80%). Most psychiatrists thought that pharmacists are unable to give individuals with mental illness enough time to discuss their medications (62/80, 77.6%) and to monitor psychotropic medications (PM) efficacy (50/80, 62.6%). Around half of respondents thought that, in the future, pharmacists would not be able to suggest PM for patients (42/80, 52.6%), nor changes in PM dosages (37/80, 46.3%). Most psychiatrists emphasized the importance of psychiatric courses to improve pharmacists’ role. Conclusion Although psychiatrists were generally not satisfied with the current role of pharmacists, they had positive expectations about pharmacists’ competency to do certain activities and to assist them in designing drug therapy plans.

Abstract 211: Variation of NEDD4L is Associated with Hypertension in Chinese Hans Chronic Kidney Disease Patients

Hypertension ◽  
2013 ◽  
Vol 62 (suppl_1) ◽  
Author(s):  
Cheng Wang ◽  
Jun Zhang ◽  
Cuicui Li ◽  
Wenyu Gong ◽  
Tanqi Lou
Keyword(s):  
Blood Pressure ◽  
Chronic Kidney Disease ◽  
Logistic Regression ◽  
Kidney Disease ◽  
Blood Pressure Monitoring ◽  
Multivariate Logistic Regression Analysis ◽  
Multivariate Logistic Regression ◽  
Functional Studies ◽  
Chi Squared ◽  
The Relationship

Background: Neural precursor cell expressed developmentally down-regulated 4-like (NEDD4L) is a candidate gene for hypertension, and carriers of an intact NEDD4L C2-domain,encoded by the NEDD4L rs4149601 (G/A) GG genotype, together with the C-allele of the NEDD4L rs2288774 (C/T) polymorphism have been found be associated with hypertension both in African Americans and whites. However, there is no data on the relationship between polymorphism of NEDD4L rs4149601 and rs2288774 and hypertension in Chinese chronic kidney disease (CKD) patients. The purpose of the current study was to investigate the relationship between the variation of NEDD4L rs4149601, rs2288774 and hypertension in CKD patients. Methods: A total of 546 Chines Hans CKD patients were enrolled in our study. The SNPs were genotyped using PCR-based techniques. All patients underwent ambulatory blood pressure monitoring, and clinical data were also collected. Multivariate logistic regression analysis was used to identify the relationship between polymorphisms and hypertension. Results: 506 patients carried GG/GA genotype and 30 carried AA genotype. Rs4149601 AA genotype carriers had significantly higher rate of hypertension (68.3% vs 46.2%, P = 0.022) than GG/GA genotype carriers by Chi-squared test. AA genotype carriers also had a higher day-time and bedtime systolic blood pressure (142±16 vs 135±23, P=0.036; 137±18 vs 127±13, P=0.022, respectively) when compared with GG/GA genotype carriers. AA genotype [OR= 3.08, 95% CI (1.06-9.80)], lowever eGFR [OR=0.98, 95% CI (0.97-0.99)], older age [OR=1.03, 95% CI (1.01-1.05)] were independently associated with hypertension in CKD patients by multivariate logistic regression. However, No difference was found in blood pressure with rs2288774 TT/TC/CC genotypes, and no difference was found in the incidence of hypertension among patients with three genotypes. Conclusions: Our results suggested 4149601AA genotype of NEDD4L may be associated with hypertension in CKD patients, and further genetic and functional studies are required to understand its role in the manifestation of hypertension in Chinese CKD patients.

scholarly journals Socioeconomic inequalities and exposure to traffic-related air pollution in the city of São Paulo, Brazil

2014 ◽  
Vol 30 (1) ◽  
pp. 119-125 ◽  
Author(s):  
Mateus Habermann ◽  
Míriam Souza ◽  
Rogério Prado ◽  
Nelson Gouveia
Keyword(s):  
Air Pollution ◽  
Socioeconomic Status ◽  
Air Pollutants ◽  
Epidemiological Studies ◽  
Sao Paulo ◽  
Health Concern ◽  
Traffic Density ◽  
São Paulo ◽  
The Relationship ◽  
The City

Air pollution is a leading public health concern. In addition, poor populations have been reported as showing increased exposure to such pollution. The current study thus aimed to evaluate the socioeconomic status of the population exposed to vehicle-related air pollution in the city of São Paulo, Brazil. The study used data from the 2010 Census on head-of-household’s mean monthly income and the percentage of households connected to the sewage system. Exposure to air pollutants was estimated according to traffic density in the census tract plus a 200m surrounding buffer. The relationship between exposure and socioeconomic variables was analyzed by the Kruskal-Wallis test. Exposure increased with increasing socioeconomic status (p < 0.001). The population with the highest socioeconomic status lives in the most polluted areas of the city. However, place of residence alone is not capable of measuring exposure. The study suggests that future epidemiological studies include other indicators of vulnerability.

scholarly journals The Role of Demoralization and Hopelessness in Suicide Risk in Schizophrenia: A Review of the Literature

Medicina ◽  
2019 ◽  
Vol 55 (5) ◽  
pp. 200 ◽  
Author(s):  
Isabella Berardelli ◽  
Salvatore Sarubbi ◽  
Elena Rogante ◽  
Michael Hawkins ◽  
Gabriele Cocco ◽  
...  
Keyword(s):  
Meaning In Life ◽  
Suicide Risk ◽  
Psychiatric Patients ◽  
Health Concern ◽  
Bibliographic Databases ◽  
Mental Health Concern ◽  
Psychological Tools ◽  
Suicide Prevention Programs ◽  
The Relationship

Background and Objectives: Demoralization has been defined by hopelessness and helplessness attributable to a loss of purpose and meaning in life. Demoralization is a meaningful mental health concern, frequently associated with suicide risk in medical and psychiatric patients. The aim of this systematic review was to synthesize the recent empirical evidence on demoralization in patients with schizophrenia and to better understand the relationship between demoralization and suicide risk in patients with schizophrenia. Methods: A comprehensive literature search using key words and subject headings was performed following PRISMA guidelines with several bibliographic databases, resulting in the identification of 27 studies. Results: The findings suggested that demoralization is prevalent in patients with schizophrenia and supported the hypothesis that the association between depression and suicide is moderated by hopelessness. In clinical practice, it is important to recognize symptoms of demoralization using appropriate psychological tools to better understand the suffering of patients with schizophrenia and to implement suicide prevention programs.

Sign in / Sign up

Export Citation Format

Share Document